name: title class: title-slide, left, middle background-image: url("data:image/png;base64,#images/daftpunktocat-thomas.gif") background-position: right background-size: contain background-color: #7899d4ff .pull-left[ # A.D.H.D. ## Neuropsychological assessment for diagnostic clarification and treatment planning ### Joey Trampush, Ph.D. ### Della Martin Assistant Professor of Psychiatry ### 2021-12-21 ] --- class: middle, center ### .big-text[Hello.] ??? We grew since 2018 --- class: middle, center, inverse .bg-washed-green.b--dark-green.ba.bw2.br3.shadow-5.ph4.mt5[ If you cannot explain something in simple terms, you don't understand it. .tr[ — Richard Feynman ]] .center[] --- class: left, middle type: exclaim What do I know about .big[ADHD] .right[] .footnote[.red.bold[*] Important footnote] [
@brainworkup](https://github.com/brainworkup) [
@brainworkup](https://twitter.com/brainworkup) [
brainworkup.io](https://brainworkup.io) ??? 80HD --- class: middle, left ## Data Science .left[  ] --- class: center middle .big[1.] ## inattention --- class: center middle .big[2.] ## hyperactivity --- class: center middle .big[3.] ## impulsivity --- class: center middle .big[4.] ## working memory --- class: center middle .big[5.] ## stimulus boundness --- class: middle center color: white ##### .big[Clinical ADHD vs Cognitive ADHD] .pull-left.white[ #### inattention #### hyperactivity #### impulsivity ] .pull-right.white[ #### working memory #### response variability #### stimulus boundness ] --- class: inverse, middle ### Neurocognitive deficits related to adhd .panelset[ .panel[.panel-name[Working Memory] #### Working Memory - Remembering things short term memory - Verbal information - Nonverbal information - "mind's eye" ] .panel[.panel-name[Processing Speed] #### Processing Speed - Rate of test taking - Rate of speed of information processing - Some other description - Fourth layer ] .panel[.panel-name[Response Variability] #### Response Variability - Reaction time variability - Response consistency - Attentional drift - Impulsive responding ] .panel[.panel-name[Inhibitory Control] #### Inhibitory Control - Go/No-Go performance - Core DSM symptom (impulsivity) - Something else ... - Impulsive responding ] ] --- name: bell class: left, middle, fullscale background-image: url(data:image/png;base64,#images/7-emot-laughing-crying.gif) background-position: 50% 50% background-size: 100% ## Emotional Control .pull-left[ > **Emotion** 🔥 > > **(Dys)Regulation** > > **in** > > **ADHD:** > > Not part of DSM/ICD diagnostic criteria > > .big[BUT] ... > > ... a core feature of the disorder ] ??? This is recognized on most rating scales e.g., brown --- class: middle, center .frame[ ### Read these words as fast as you can ] --- class: middle, center .frame[ ## RED ] -- .frame[ ## GREEN ] -- .frame[ ## BLUE ] -- .frame[ ## YELLOW ] ??? This is how we test it --- class: middle, center .frame[ ## .red[RED] ] -- .frame[ ## .green[GREEN] ] -- .frame[ ## .blue[BLUE] ] -- .frame[ ## .yellow[YELLOW] ] ??? This is how we test it --- class: middle, center .frame[ ## .blue[RED] ] -- .frame[ ## .yellow[GREEN] ] -- .frame[ ## .red[BLUE] ] -- .frame[ ## .green[YELLOW] ] ??? This is how we test it --- name: agenda class: middle, center # Agenda The .big-text[name] of this slide is {{ name }}. --- class: middle center inverse animated slideInRight fadeOutLeft ### Distribution of Scores: _Population-level Interpretation_ <div class="figure"> <img src="data:image/png;base64,#images/plot_narrow.png" alt="Statistical classification of neuropsychological test scores in the general population." width="50%" /> <p class="caption">Statistical classification of neuropsychological test scores in the general population.</p> </div> --- class: middle center inverse animated slideInLeft fadeOutRight ### Distribution of Scores: _Clinical Interpretation_ <div class="figure"> <img src="data:image/png;base64,#images/plot_broad.png" alt="General clinical interpretation of performance for individual test scores and broader neuropsychological domains." width="50%" /> <p class="caption">General clinical interpretation of performance for individual test scores and broader neuropsychological domains.</p> </div> --- class: inverse middle center ### Highcharte`R` Drilldown ### Z-scores (Mean = 0, SD = 1) <div class="figure">
<p class="caption">Drilldown Neuropsych zScores</p> </div> --- name: snoop class: middle, right background-image: url(data:image/png;base64,#images/snoop.gif) background-color: #FFFFFF background-size: auto font-family: metal-mania font-style: bold font-weight: 600 .pull-right.white[ "There are three ways to ultimate success: The first way is to be kind. The second way is to be kind. The third way is to be kind." ] ---  --- <form class="pa4"> <fieldset id="favorite_movies" class="bn"> <legend class="fw7 mb2">Favorite Movies</legend> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="spacejam" value="spacejam"> <label for="spacejam" class="lh-copy">Space Jam</label> </div> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="airbud" value="airbud"> <label for="airbud" class="lh-copy">Air Bud</label> </div> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="hocuspocus" value="hocuspocus"> <label for="hocuspocus" class="lh-copy">Hocus Pocus</label> </div> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="diehard" value="diehard"> <label for="diehard" class="lh-copy">Die Hard</label> </div> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="primer" value="primer"> <label for="primer" class="lh-copy">Primer</label> </div> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="proxy" value="proxy"> <label for="proxy" class="lh-copy">Hudsucker Proxy</label> </div> <div class="flex items-center mb2"> <input class="mr2" type="checkbox" id="homealone" value="homealone"> <label for="homealone" class="lh-copy">Home Alone</label> </div> </fieldset> </form>